| NPI | 1962891051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD459059) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 299478) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2023-06-07 |